I often have discussion with family and friends about how "we" should help the poor, the sick, and the incompetent.
Usually, I end up taking the role of the villain because my view is that society can decide what it values through the individual contributions of its citizens. That is, I don't think my government has the right to forcibly confiscate my property to hand to someone else.
If people want to support giving health care to everyone, then they can start or support a foundation or charity that does that. Or if they want to make sure someone born with down syndrome is able to be supported, support a charity or foundation. But don't use the government as an inefficient goon squad to compel other people to pay for your compassion.
But I hear the response already "We express what we want our society to be like through our elected officials". Bullshit.
In a country where half the adult population pays zero net federal income taxes, we certainly are not expressing our society through a democratic movement. We are, instead, expressing a shallow, narcissistic feel-good set of policies that someone else ultimately has to pay for.
What study after study has shown is that societies that transfer individual responsibility to the government ultimately surrenders any individual obligation to help others. There's nothing compassionate about supporting a government policy.
Beliefs aren't compassionate. Deeds are. Supporting universal health care is not compassionate. Helping a friend, a family member or a total stranger with their medical bills is.